Pediatric Nursing Exam Solutions
Course Introduction
Pediatric Nursing is a specialized course focused on the care of infants, children, and adolescents within the context of their families. It covers growth and development, common pediatric illnesses and conditions, health promotion, disease prevention, and the psychological aspects of childhood and adolescence. The course emphasizes family-centered care, communication with children and families, assessment techniques specific to pediatric patients, and management of both acute and chronic health problems. Students will gain practical skills through clinical experiences, preparing them to provide safe, evidence-based, and holistic care to pediatric populations in a variety of healthcare settings.
Recommended Textbook
Wongs Nursing Care of Infants and Children 11th Edition by Marilyn J. Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/2827 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/56280
Sample Questions
Q1) Development of a care plan
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: D
Q2) Determines if the outcome was met
A)Assessment
B)Diagnosis
C)Outcomes identification
D)Planning
E)Implementation
F)Evaluation
Answer: F
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3
Chapter 2: Social,cultural,religious,and Family Influences on
Child Health Promotion
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/56281
Sample Questions
Q1) The parents of a young child ask the nurse for suggestions about discipline.When discussing the use of time-outs,which should the nurse include?
A) Send the child to his or her room if the child has one.
B) A general rule for length of time is 1 hour per year of age.
C) Select an area that is safe and nonstimulating, such as a hallway.
D) If the child cries, refuses, or is more disruptive, try another approach.
Answer: C
Q2) The nurse discovers welts on the back of a Vietnamese child during a home health visit.The child's mother says she has rubbed the edge of a coin on her child's oiled skin.The nurse should recognize this as what?
A) Child abuse
B) Cultural practice to rid the body of disease
C) Cultural practice to treat enuresis or temper tantrums
D) Child discipline measure common in the Vietnamese culture
Answer: B
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Chapter 3: Hereditary Influences on Health Promotion of the Child and
Family
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/56282
Sample Questions
Q1) Complete genetic information of an organism
A)Concordant
B)Congenital
C)Cytogenetics
D)Genome
E)Teratogen
Answer: D
Q2) A couple has given birth to their first child,a boy with a recessive disorder.The genetic counselor tells them that the risk of recurrence is one in four.Which statement is a correct interpretation of this information?
A) The risk factor remains the same for each pregnancy.
B) The risk factor will change when they have a second child.
C) Because the parents have one affected child, the next three children should be unaffected.
D) Because the parents have one affected child, the next child is four times more likely to be affected.
Answer: A
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Chapter 4: Communication, physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) Rectal temperatures are indicated in which situation?
A) In the newborn period
B) Whenever accuracy is essential
C) Rectal temperatures are never indicated
D) When rapid temperature changes are occurring
Q2) An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is which?
A) Ask her why she wants to know.
B) Determine why she is so anxious.
C) Explain in simple terms how it works.
D) Tell her she will see how it works as it is used.
Q3) Which is the single most important factor to consider when communicating with children?
A) Presence of the child's parent
B) Child's physical condition
C) Child's developmental level
D) Child's nonverbal behaviors
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Page 6
Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A health care provider prescribes Kytril (granisetron),10 mcg/kg IV every 4 to 6 hours as needed for nausea.The medication label states: "Kytril 100 mcg/1 mL." The child weighs 15 kg.The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer to one decimal place.
Q2) A health care provider prescribes ibuprofen (Motrin),5 mg/kg PO every 6 to 8 hours as needed for pain.The child weighs 8 kg.The medication label states: "Ibuprofen 100 mg/5 mL." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
Q3) A health care provider prescribes OxyContin (oxycodone),3 mg PO every 4 to 6 hours as needed for pain.The medication label states: "OxyContin 5 mg/1 mL." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using one decimal place.
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Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which serious reaction should the nurse be alert for when administering vaccines?
A) Fever
B) Skin irritation
C) Allergic reaction
D) Pain at injection site
Q2) What often causes cellulitis?
A) Herpes zoster
B) Candida albicans
C) Human papillomavirus
D) Streptococci or staphylococci
Q3) The nurse is preparing an airborne infection isolation room for a patient.Which communicable disease does the patient likely have?
A) Varicella
B) Pertussis
C) Influenza
D) Scarlet fever
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Chapter 7: Health Promotion of the Newborn and Family
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which statement reflects accurate information about patterns of sleep and wakefulness in the newborn?
A) States of sleep are independent of environmental stimuli.
B) The quiet alert stage is the best stage for newborn stimulation.
C) Cycles of sleep states are uniform in newborns of the same age.
D) Muscle twitches and irregular breathing are common during deep sleep.
Q2) Which assessments are included in the Apgar scoring system?
A) Heart rate
B) Muscle tone
C) Blood pressure
D) Blood glucose
E) Reflex irritability
Q3) In term newborns,the first meconium stool should occur no later than within how many hours after birth?
A) 6
B) 8
C) 12
D) 24
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9
Chapter 8: Health Problems of Newborns
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer a topical application of 1 ml of nystatin (Mycostatin)to an infant with oral thrush.Which actions should the nurse plan to implement?
A) Administer after a feeding.
B) Use a sponge applicator to swab the oral mucosa and tongue.
C) Administer after warming the medication under running warm water.
D) If white patches are no longer present, hold the medication.
E) Deposit the remainder of the dose in the mouth with a syringe so the infant swallows a small amount.
Q2) Shallow orbits and underdevelopment of the middle third of the face
A)Crouzon syndrome
B)Apert syndrome
C)Treacher Collins syndrome
D)Pierre Robin sequence
Q3) The nurse is caring for a newborn with Erb palsy.The nurse understands that which reflex is absent with this condition?
A) Root reflex
B) Suck reflex
C) Grasp reflex
D) Moro reflex
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Chapter 9: The High-Risk Newborn and Family
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nurse has been caring for an infant who has just died.The parents are present but appear to be "afraid" to hold the dead infant.What is the most appropriate nursing intervention?
A) Tell them there is nothing to fear.
B) Insist that they hold the infant "one last time."
C) Respect their wishes and release the body to the morgue.
D) Keep the infant's body available for a few hours in case they change their minds.
Q2) The nurse is providing care to a preterm infant.Which characteristic of daily care should be considered supportive?
A) Coordinated with parental visiting times
B) Given on a fixed schedule to ensure needs are met
C) Provided when infant's heart rate is at its lowest level
D) Directed toward development of sleep organization
Q3) Which statement is true concerning the nutritional needs of preterm infants?
A) The secretion of lactase is low.
B) Carbohydrates and fats are better tolerated than protein.
C) The demand for nutrients is less than in full-term infants.
D) Breast milk lacks the proper concentration of nutrients.
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11
Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) In terms of gross motor development,what should the nurse expect an infant age 5 months to do?
A) Sit erect without support.
B) Roll from the back to the abdomen.
C) Turn from the abdomen to the back.
D) Move from a prone to a sitting position.
Q2) The nurse is evaluating a 7-month-old infant's cognitive development.Which behaviors should the nurse anticipate evaluating?
A) Imitates sounds
B) Shows interest in a mirror image
C) Comprehends simple commands
D) Actively searches for a hidden object
E) Attracts attention by methods other than crying
Q3) At what age is it safe to give infants whole milk instead of commercial infant formula?
A) 6 months
B) 9 months
C) 12 months
D) 18 months
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Page 12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse is planning care for an infant with eczema.Which interventions should the nurse include in the care plan?
A) Avoid giving the infant a bubble bath.
B) Avoid the use of a humidifier in the infant's room.
C) Avoid overdressing the infant.
D) Avoid the use of topical steroids on the infant's skin.
E) Avoid wet compresses on the infant's most affected areas.
Q2) Initial exposure to an allergen resulting in an immune response; subsequent exposure induces a much stronger response
A)Food allergy
B)Food allergen
C)Food intolerance
D)Sensitization
E)Atopy
Q3) Allergy with a hereditary tendency
A)Food allergy
B)Food allergen
C)Food intolerance
D)Sensitization
E)Atopy
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Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) The nurse is providing guidance strategies to a group of parents with toddlers at a community outreach program.Which statement by a parent indicates a correct understanding of the teaching?
A) "I should expect my 24-month-old child to express some signs of readiness for toilet training."
B) "I should be firm and structured when disciplining my 18-month-old child."
C) "I should expect my 12-month-old child to start to develop a fear of darkness and to need a security blanket."
D) "I should expect my 36-month-old child to understand time and proximity of events."
Q2) The nurse is teaching parents of a toddler how to handle temper tantrums.What should the nurse include in the teaching?
A) Provide realistic expectations.
B) Avoid using rewards for good behavior.
C) Ensure consistency among all caregivers in expectations.
D) During tantrums, ignore the behavior and continue to be present.
E) Use time-outs for managing temper tantrums, starting at 12 months.
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14
Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse is teaching parents of a 3-year-old child about gross motor developmental milestones.What milestones should the nurse include in the teaching session?
A) Rides a tricycle
B) Catches a ball reliably
C) Jumps off the bottom step
D) Stands on one foot for a few seconds
E) Walks downstairs using alternate footing
Q2) The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep at night.What intervention should the nurse suggest in helping the parent to cope with this sleep disturbance?
A) Establish a consistent punishment if the child does not go to bed when told.
B) Allow the child to fall asleep in a different room and then gently move the child to his or her bed.
C) Establish limited rituals that signal readiness for bedtime.
D) Allow the child to watch television until almost asleep.
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Chapter 14: Health Problems of Early Childhood
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A young boy is found squirting lighter fluid into his mouth.His father calls the emergency department.The nurse taking the call should know that the primary danger is what?
A) Hepatic dysfunction
B) Dehydration secondary to vomiting
C) Esophageal stricture and shock
D) Bronchitis and chemical pneumonia
Q2) A child with diazepam (Valium)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?
A) Succimer (Chemet)
B) EDTA (Versenate)
C) Flumazenil (Romazicon)
D) Octreotide acetate (Sandostatin)
Q3) A child with acetaminophen (Tylenol)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?
A) Carnitine (Carnitor)
B) Fomepizole (Antizol)
C) Deferoxamine (Desferal)
D) N-acetylcysteine (Mucomyst)
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Page 16
Chapter 15: Health Promotion of the School-Age Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is explaining about the developmental sequence in children's capacity to conserve matter to a group of parents.What type of matter is last in the sequence for a child to develop?
A) Mass
B) Length
C) Volume
D) Numbers
Q2) The nurse is planning strategies to assist a slow-to-warm child to try new experiences.What strategies should the nurse plan?
A) Attend after-school activities with a friend.
B) Suggest the child move quickly into a new situation.
C) Avoid trying new experiences until the child is ready.
D) Allow the child to adapt to the experience at his or her own pace.
E) Contract for permission to withdraw after a trial of the experience.
Q3) What is descriptive of the social development of school-age children?
A) Identification with peers is minimum.
B) Children frequently have "best friends."
C) Boys and girls play equally with each other.
D) Peer approval is not yet an influence for the child to conform.
Page 17
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Chapter 16: Health Problems of the School-Age Child
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A health care provider prescribes risperidone (Risperdal),PO,2 mg,twice a day,for a child with schizophrenia.The medication label states: "Risperidone (Risperdal)oral concentrate,1 mg/1 ml." The nurse prepares to administer one dose.How many milliliters should the nurse prepare to administer one dose? Fill in the blank.Record your answer as a whole number.
Q2) A child has had contact with some poison ivy.The school nurse understands that the full-blown reaction should be evident after how many days?
A) 1 day
B) 2 days
C) 3 days
D) 4 days
Q3) Wound with a relatively small opening compared with the depth
A)Abrasion
B)Avulsion
C)Laceration
D)Incision
E)Puncture
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Chapter 17: Health Promotion of the Adolescent and Family
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) What are characteristics of early adolescence (11-14 years)with regard to identity?
A) Mature sexual identity
B) Increase in self-esteem
C) Trying out of various roles
D) Conformity to group norms
E) Preoccupied with rapid body changes
Q2) Adolescents often do not use reasoned decision making when issues such as substance abuse and sexual behavior are involved.What is this because of?
A) They tend to be immature.
B) They do not need to use reasoned decision making.
C) They lack cognitive skills to use reasoned decision making.
D) They are dealing with issues that are stressful and emotionally laden.
Q3) How does the onset of the pubertal growth spurt compare in girls and boys?
A) In girls, it occurs about 1 year before it appears in boys.
B) In girls, it occurs about 3 years before it appears in boys.
C) In boys. it occurs about 1 year before it appears in girls.
D) It is about the same in both boys and girls.
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Chapter 18: Health Problems of the Adolescent
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) It is important that women with anogenital warts caused by the human papillomavirus (HPV)receive adequate treatment because this sexually transmitted infection increases the risk of what?
A) Gonorrhea
B) Cervical cancer
C) Chlamydial infection
D) Urinary tract infection
Q2) What method is the most commonly used in completed suicides?
A) Firearms
B) Drug overdose
C) Self-inflicted laceration
D) Carbon monoxide poisoning
Q3) What best describes central nervous system (CNS)stimulants?
A) Acute intoxication can lead to coma.
B) They produce strong physical dependence.
C) Withdrawal symptoms are life threatening.
D) They can result in strong psychologic dependence.
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Page 20
Chapter 19: Family-Centered Care of the Child With Chronic Illness or Disability
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/56298
Sample Questions
Q1) What manifestation observed by the nurse is suggestive of parental overprotection?
A) Gives inconsistent discipline
B) Facilitates the child's responsibility for self-care of illness
C) Persuades the child to take on activities of daily living even when not able
D) Encourages social and educational activities not appropriate to the child's level of capability
Q2) The nurse is planning care for a 3-year-old boy who has Down syndrome and is on continuous oxygen.He recently began walking around furniture.He is spoon fed by his parents and eats some finger foods.What goal is the most appropriate to promote normal development?
A) Encourage mobility.
B) Encourage assistance in self-care.
C) Promote oral-motor development.
D) Provide opportunities for socialization.
Q3) What is the major health concern of children in the United States?
A) Acute illness
B) Chronic illness
C) Congenital disabilities
D) Nervous system disorders
Page 21
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Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A health care provider prescribes OxyContin (oxycodone),3 mg PO every 4 to 6 h as needed for pain for a child with a terminal illness.The medication label states: "OxyContin 5 mg/1 ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using one decimal place.
Q2) A 12-year-old child has failed several courses of chemotherapy.An experimental drug is available that his parents want him to receive.He has told his parents and the oncologists that he is ready to die and does not want any more chemotherapy.The nurse recognizes what to be true?
A) Parents and child both need support in the decision making.
B) Twelve-year-olds are minors and cannot give consent or refuse treatments.
C) The oncologists needs to make the decision because the parents and child disagree.
D) The parents have the right and responsibility to make decisions for their children younger than age 18 years.
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22
Chapter 21: The Child With Cognitive, sensory, or Communication Impairment
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse should plan which actions to facilitate lipreading for a child with a hearing impairment?
A) Face the child directly.
B) Speak at eye level.
C) Keep sentences short.
D) Speak at a fast, even-paced rate.
E) Establish eye contact and show interest.
Q2) One of the techniques that has been especially useful for learners having cognitive impairment is called fading.What description best explains this technique?
A) Positive reinforcement when tasks or behaviors are mastered
B) Repeated verbal explanations until tasks are faded into the child's development
C) Negative reinforcement for specific tasks or behaviors that need to be faded out
D) Gradually reduces the assistance given to the child so the child becomes more independent
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse is caring for a 3-year-old child during a long hospitalization.The parent is concerned about how to support the child's siblings during the hospitalization.What statement is appropriate for the nurse to make?
A) "You should choose one parent to spend every night in the hospital while the other parent stays at home with the other children."
B) "You could leave your hospitalized child for periods at night to be at home with the other children."
C) "You should discourage the siblings from visiting because this could upset everyone in the family."
D) "You could encourage a nightly phone call between the siblings as part of the bedtime routine."
Q2) What nursing interventions should the nurse plan for a hospitalized toddler to minimize fear of bodily injury?
A) Perform procedures slowly.
B) Maintain parent-child contact.
C) Use progressively smaller dressings on surgical incisions.
D) Tell the child bleeding will stop after the needle is removed.
E) Remove a dressing as quickly as possible from surgical incisions.
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Chapter 23: Pediatric Nursing Interventions and Skills
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back.Her mother puts the hospital gown on her,but the child is crying because she wants to leave on her underpants.What is the most appropriate nursing action at this time??
A) Allow her to wear her underpants.
B) Discuss with her mother why this is important to the child.
C) Ask her mother to explain to her why she cannot wear them.
D) Explain in a kind, matter-of-fact manner that this is hospital policy.
Q2) What strategies should the nurse implement to assist in feeding a sick child?
A) Serve large portions.
B) Make mealtimes pleasant.
C) Avoid foods that are highly seasoned.
D) Provide finger foods for young children.
E) Ensure a variety of foods, textures, and colors.
Q3) A toddler is being sent to the operating room for surgery at 9 AM.As the nurse prepares the child,what is the priority intervention?
A) Administering preoperative antibiotic
B) Verifying that the child and procedure are correct
C) Ensuring that the toddler has been NPO since midnight
D) Informing the parents where they can wait during the procedure
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Page 25
Chapter 24: The Child With Fluid and Electrolyte Imbalance
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) Skin that is obtained from genetically different members of the same species who are free of disease
A)Allografts
B)Xenografts
C)Autografts
D)Isografts
Q2) What type of dehydration occurs when the electrolyte deficit exceeds the water deficit?
A) Isotonic dehydration
B) Hypotonic dehydration
C) Hypertonic dehydration
D) Hyperosmotic dehydration
Q3) What explains physiologically the edema formation that occurs with burns?
A) Vasoconstriction
B) Reduced capillary permeability
C) Increased capillary permeability
D) Diminished hydrostatic pressure within capillaries
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26
Chapter 25: The Child With Renal Dysfunction
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) A child is admitted with acute glomerulonephritis.What should the nurse expect the urinalysis during this acute phase to show?
A) Bacteriuria and hematuria
B) Hematuria and proteinuria
C) Bacteriuria and increased specific gravity
D) Proteinuria and decreased specific gravity
Q2) The nurse is caring for a child with a urinary tract infection who is on intravenous gentamicin (Garamycin).What interventions should the nurse plan for this child with regard to this medication?
A) Encourage fluids.
B) Monitor urinary output.
C) Monitor sodium serum levels.
D) Monitor potassium serum levels.
E) Monitor serum peak and trough levels.
Q3) Calculate the 24-hour maintenance fluid requirement for a child weighing 25 kg.Fill in the blank with ml/day.Record your answer in a whole number.
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Chapter 26: The Child With Gastrointestinal Dysfunction
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72 Verified Questions
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Sample Questions
Q1) A toddler's mother calls the nurse because she thinks her son has swallowed a button type of battery.He has no signs of respiratory distress.The nurse's response should be based on which premise?
A) An emergency laparotomy is very likely.
B) The location needs to be confirmed by radiographic examination.
C) Surgery will be necessary if the battery has not passed in the stool in 48 hours.
D) Careful observation is essential because an ingested battery cannot be accurately detected.
Q2) What information should the nurse include when teaching an adolescent with Crohn disease (CD)?
A) How to cope with stress and adjust to chronic illness
B) Preparation for surgical treatment and cure of CD
C) Nutritional guidance and prevention of constipation
D) Prevention of spread of illness to others and principles of high-fiber diet
Q3) What immunization is recommended for all newborns?
A) Hepatitis A vaccine
B) Hepatitis B vaccine
C) Hepatitis C vaccine
D) Hepatitis A, B, and C vaccines
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Page 28
Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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Sample Questions
Q1) Effective cardiopulmonary resuscitation (CPR)on a 5-year-old child should include what technique?
A) Provide one breath to every five chest compressions.
B) Provide two breaths to every 30 chest compressions.
C) Reassess the child every 10 minutes while CPR continues.
D) Evaluate the child after 50 cycles of compression and ventilation.
Q2) What test measures the amount of air inhaled and exhaled during any respiratory cycle?
A) Tidal volume
B) Vital capacity
C) Dynamic compliance
D) Pulmonary resistance
Q3) What medication is considered to be the most useful in treating cardiac arrest?
A) Bretylium tosylate (Bretylium)
B) Xylocaine (lidocaine)
C) Adrenaline (epinephrine)
D) Naloxone (Narcan)
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Chapter 28: The Child With Respiratory Dysfunction
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Q1) A 3-year-old child is experiencing pain after a tonsillectomy.The child has not taken in any fluids and does not want to drink anything,saying,"My tummy hurts." The following health care prescriptions are available: acetaminophen (Tylenol)PO (orally)or PR (rectally)PRN,ice chips,clear liquids.What should the nurse implement to relieve the child's pain?
A) Ice chips
B) Tylenol PO
C) Tylenol PR
D) Popsicle
Q2) The nurse is preparing to admit a 3-year-old child with acute spasmodic laryngitis.What clinical features of hepatitis B should the nurse recognize?
A) High fever
B) Croupy cough
C) Tendency to recur
D) Purulent secretions
E) Occurs sudden, often at night
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Chapter 29: The Child With Cardiovascular Dysfunction
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Q1) What drug is an angiotensin-converting enzyme (ACE)inhibitor?
A) Furosemide (Lasix)
B) Captopril (Capoten)
C) Chlorothiazide (Diuril)
D) Spironolactone (Aldactone)
Q2) The nurse is caring for a child with Kawasaki disease in the acute phase.What clinical manifestations should the nurse expect to observe?
A) Osler nodes
B) Cervical lymphadenopathy
C) Strawberry tongue
D) Chorea
E) Erythematous palms
F) Polyarthritis
Q3) What type of drug reduces hypertension by interfering with the production of angiotensin II?
A) Diuretics
B) Vasodilators
C) Beta-blockers
D) Angiotensin-converting enzyme (ACE) inhibitors
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Chapter 30: The Child With Hematologic or Immunologic Dysfunction
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Q1) The nurse is preparing to admit a 4-year-old child with chronic benign neutropenia.What clinical features of chronic benign neutropenia should the nurse recognize?
A) Gingivitis is present.
B) Anemia is not present.
C) Monocytosis is present.
D) It has an autosomal recessive pattern.
E) Treatment is by bone marrow transplantation.
Q2) The nurse is caring for a child with hemophilia A.The child's activity is as tolerated.What activity is contraindicated for this child?
A) Ambulating to the cafeteria
B) Active range of motion
C) Ambulating to the playroom
D) Passive range of motion exercises
Q3) What are signs and symptoms of anemia?
A) Pallor
B) Fatigue
C) Dilute urine
D) Bradycardia
E) Muscle weakness
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Chapter 31: The Child With Cancer
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Q1) A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time.What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
A) Administer the chemotherapy between meals.
B) Give an antiemetic before chemotherapy begins.
C) Have the child bring favorite foods for snacks.
D) Keep the child NPO (nothing by mouth) until nausea and vomiting subside.
Q2) A child with osteosarcoma is experiencing phantom limb pain after an amputation.What prescribed medication is effective for short-term phantom pain relief?
A) Phenytoin (Dilantin)
B) Gabapentin (Neurontin)
C) Valproic Acid (Depakote)
D) Phenobarbital (Phenobarbital)
Q3) Calculate the absolute neutrophil count for a child with a WBC = 10,000/mm³,neutrophils = 25%,and nonsegmented neutrophils (bands)= 22%.Record your answer in a whole number.
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Page 33
Chapter 32: The Child With Cerebral Dysfunction
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Q1) A child has been seizure free for 2 years.A father asks the nurse how much longer the child will need to take the antiseizure medications.How should the nurse respond?
A) Medications can be discontinued at this time.
B) The child will need to take the drugs for 5 years after the last seizure.
C) A step-wise approach will be used to reduce the dosage gradually.
D) Seizure disorders are a lifelong problem. Medications cannot be discontinued.
Q2) A 10-year-old child,without a history of previous seizures,experiences a tonic-clonic seizure at school that lasts more than 5 minutes.Breathing is not impaired.Some postictal confusion occurs.What is the most appropriate initial action by the school nurse?
A) Stay with child and have someone else call emergency medical services (EMS).
B) Notify the parent and regular practitioner.
C) Notify the parent that the child should go home.
D) Stay with the child, offering calm reassurance.
Q3) An injury to which part of the brain will cause a coma?
A) Brainstem
B) Cerebrum
C) Cerebellum
D) Occipital lobe
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Page 34
Chapter 33: The Child With Endocrine Dysfunction
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Q1) Congenital adrenal hyperplasia (CAH)is suspected in a newborn because of ambiguous genitalia.The parents are appropriately upset and concerned about their child's gender.In teaching the parents about CAH,what should the nurse explain?
A) Reconstructive surgery as a female is preferred.
B) Sexual assignment should wait until genetic sex is determined.
C) Prenatal masculinization will strongly influence the child's development.
D) The child should be raised as a boy because of the presence of a penis and scrotum.
Q2) A child eats some sugar cubes after experiencing symptoms of hypoglycemia.This rapid-releasing sugar should be followed by which dietary intervention?
A) Sports drink and fruit
B) Glucose tabs and protein
C) Glass of water and crackers
D) Milk and peanut butter on bread
Q3) What is a common clinical manifestation of juvenile hypothyroidism?
A) Insomnia
B) Diarrhea
C) Dry skin
D) Rapid growth
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35
Chapter 34: The Child With Musculoskeletal or Articular Dysfunction
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Q1) The school nurse recognizes that the adverse effects of performance-enhancing substances can include what?
A) Depression
B) Dehydration
C) Hypotension
D) Aggressiveness
E) Changes in libido
Q2) After spinal fusion surgery the nurse should check for signs of what?
A) Seizure activity
B) Increased intracranial pressure
C) Impaired color, sensitivity, and movement to the lower extremities
D) Impaired pupillary response during neurologic checks
Q3) An infant is born with one lower limb deficiency.When is the optimum time for the child to be fitted with a functional prosthetic device?
A) As soon as possible after birth
B) When the infant is developmentally ready to stand up
C) At about ages 12 to 15 months, when most children are walking
D) At about 4 years, when the healthy limb is not growing so rapidly
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Chapter 35: The Child With Neuromuscular or Muscular Dysfunction
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Q1) What most accurately describes bowel function in children born with a myelomeningocele?
A) Incontinence cannot be prevented.
B) Enemas and laxatives are contraindicated.
C) Some degree of fecal continence can usually be achieved.
D) Colostomy is usually required by the time the child reaches adolescence.
Q2) A feeding technique the nurse can teach to parents of a child with cerebral palsy to improve use of the lips and the tongue to facilitate speech is which?
A) Feeding pureed foods
B) Placing food on the tongue
C) Placing food at the side of the tongue
D) Placing food directly into the mouth with a spoon
Q3) The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled the next day.What is the most appropriate way to position and feed this neonate?
A) Prone with the head turned to the side
B) On the side
C) Supine in an infant carrier
D) Supine, with defect supported with rolled blankets
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